2006年前后5年颅内动脉瘤诊断手段和显微手术范围的比较  

Comparison of diagnostic technique and microsurgical range of intracranial aneurysms in 5 years before and after 2006

作　　者：唐晓平[1] 张涛[1] 彭华[1] 赵龙[1] 杨彬彬[1] 印晓鸿[1] 段军伟[1] 漆建[1] 唐文国[1] 王远传[1] 冯凌[1] 罗仁国[1] 李舜[1] 苟章洋[1] 

机构地区：[1]川北医学院附属医院神经外科,四川南充637000

出　　处：《实用医院临床杂志》2013年第5期32-35,共4页Practical Journal of Clinical Medicine

基　　金：四川省医学重点建设学科基金资助项目(编号:川卫办发[2007]407号);四川省卫生厅科研基金资助项目(编号:070301;090140)

摘　　要：目的分析2006年前后5年我院颅内动脉瘤手术病例的诊断手段和手术范围，以期进一步完善诊疗技术，提高治疗效果。方法选择2001～2005年在我科行颅内动脉瘤夹闭术的患者219例（A组），2006—2010年的患者698例（B组）。回顾性分析两组患者的一般资料、发病情况、术前检查情况、手术时间、动脉瘤的部位、大小以及多发动脉瘤的处理等资料。结果①两组资料在性别、年龄、发病情况、多发动脉瘤比例、前循环动脉瘤分布等方面比较，差异无统计学意义。②B组术前行DSA检查的比例明显小于A组，行CTA检查比例明显高于A组。（函B组较A组手术范围扩大，包括有大型、巨大型动脉瘤手术，以及床突段及后循环动脉瘤。④B组手术明显提前，发病3天内手术及2周内手术者的比例明显高于A组。⑤对于多发动脉瘤，B组一次性手术的比例明显高于A组。结论2006年后五年的手术量较前五年明显增加，诊断手段有所改进，手术范围明显扩大，手术时间相应提前，且针对多发动脉瘤一期手术的比例明显提高，有助于提高颅内动脉瘤患者的生存率和生存质量。Objective To improve the diagnostic and therapeutic technology for patients with intracranial aneurysms, and en- hance the treatment effect. Methods Patients treated with clipping of intracranial aneurysm during 2001 to 2005 （ group A） and 2006 to 2010 （ group B） in our hospital were involved in the study. The patients＇ general information, incidence ,preoperative examination, opera- tion time,location and size of the aneurysm and the treatment of multiple aneurysms were analyzed by statistical method. Results ① No significant differences were found in the gender, age,incidence, proportion of multiple aneurysms and distribution of former circula- tion aneurysms between the two groups. ② Compared to the group A,the group B had a lower proportion of preoperative DSA examina- tion and a higher proportion of preoperative CTA examination. ③ Compared to the group A, surgical range of the group B was expanded in large or giant？ aneurysms,processus clinoideus？ aneurysm and posterior circulation aneurysms. ④Operations in the group B were significantly ahead of the group A, and often finished in three days or two weeks after onset.⑤The probability that muhiple aneurysms could be clipped in one time in the group B was obviously higher than that in the group A. Conclusions In recent five years, the num- ber of chpping of intracranial aneurysm has significantly increased. The diagnostic technique has been improved, the range of operation expanded, the operation time has been advanced and the probability for one time to clipping increased. Undoubtedly, all those progress will be benefited to improve the patient＇s survival rates and quality of life.

关 键 词：颅内动脉瘤 显微外科手术 疗效 对比研究 

分 类 号：R651.12[医药卫生—外科学]